Anthem Blue Cross EPO, EPO 500, or EPO 1000
EPOs, or Exclusive Provider Organizations, are copay based and only cover services performed solely by providers within their network (with the exception of emergency services). On this plan, you may self-refer to in-network specialists.
- Medical and mental health coverage is through Anthem Blue Cross.
- Prescription coverage is through EmpiRx.
- Vision coverage is through the Vision Service Plan (VSP).
Anthem Blue Cross PPO 250
PPOs, or Preferred Provider Organizations, allow you to use out-of-network providers, but at a higher rate. The deductible period for this PPO plan is for the plan year, starting December 12, 2022.
- Medical and mental health coverage is through Anthem Blue Cross.
- Prescription coverage is through EmpiRx.
- Vision coverage is through the Vision Service Plan (VSP).
Anthem Blue Cross HDPPO 3000
HDPPOs, or High Deductible Preferred Provider Organizations, have high deductibles and low premiums. As with other PPO plans, they allow you to use out-of-network providers, but at a higher rate. The deductible period for this HDPPO plans is based on the calendar year, starting January 1, 2023.
- Medical, mental health, and prescription coverage is through Anthem Blue Cross.
- Vision coverage is through Vision Service Plan (VSP).
Is Your Doctor In the Anthem Network?
Visit Anthem’s Website today and follow this pathway:
- Providers > Provider Resources > Find a Doctor
- From here, you can search as member or search as guest.
- How do you get insurance? Through my employer
- What state do you want to search in? Choose the State
- What type of care are you searching for? Medical
- Select a plan/network: EPO (it should be about 6 down on the list)
- Finally, use the search engine to look for your doctor!
Notice of Direct Contract between SJVIA and CMC
Community Health System has entered into a direct contract with San Joaquin Valley Insurance Authority (SJVIA), a joint powers authority between the County of Fresno and County of Tulare where health insurance is purchased.
This direct contract means that SJVIA members, including County of Fresno employees, can receive services provided at Community Medical Centers’ hospitals and Community Health Partners’ practices at in network rates and will be retro-active to January 1, 2023.
What do I need to do to access services?
Provide your County of Fresno Anthem card when accessing services. Provider locations will confirm members are covered under this new agreement by looking at the Group Number prefix – 275341. CMC physicians were made aware of the direct contract and have been advised on how to confirm coverage; letter is linked below.
County of Fresno – Human Resources, Employee Benefits would like to thank the SJVIA for their efforts in putting this direct contract in place while Anthem and Community Health System continue to negotiate towards an agreement.
SJVIA Direct Contract Announcement to Providers(PDF, 82KB)